Reece James' World Cup could be over - if England fail to reach the latter stages of the competition.
James was seen beckoning to the bench late in the 0-0 draw with Ghana on Tuesday but was unable to be replaced because Thomas Tuchel had already made all five substitutions.
It is not clear whether the fact he had to play on aggravated the injury.
James came into the tournament fully fit but England's two opening games in the USA were the first back-to-back matches he has managed since March.
James has not travelled with the rest of the squad to New Jersey for Saturday's final Group L game against Panama.
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