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'Significant concern' for the touring side after Atkinson goes off due to a hamstring issue.
The pace bowler added to England's injury problems upon exiting the playing area on the second morning of the fourth Ashes Test in the Ashes series.
The right-arm seamer felt a problem in his hamstring post-delivery that he bowled during the morning session.
The touring camp reported Atkinson had experienced "tightness" and would spend time on the sidelines for further assessment "during the day".
The concluding match of the series in Sydney begins at the end of the week.
The visitors have already lost fast bowlers Mark Wood due to knee trouble and another paceman because of a side injury during this series.
Matthew Fisher was brought into the squad to provide backup.
Atkinson struggled in the opening two Tests, managing only three wickets.
He was omitted for the Adelaide match, only to be brought back for the Melbourne Test to fill the void.
The county bowler performed better in the fourth Test, taking two wickets in Australia's first innings, and scoring 28 runs with the bat being one of only three England players who passed ten runs.
Post a single over at the end of day one, he returned the next day and removed Scott Boland taken by the wicketkeeper.
Unfortunately, at the end of that over, he bowled a change of pace to the batsman and suddenly grabbed his left hamstring.
Gus Atkinson was recalled for the Melbourne match after being left out the previous Test.
Tech analyst and writer with over a decade of experience in digital transformation and emerging technologies.