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Uruguay captain Diego Lugano out of England game at World Cup on Thursday


Costa Rica's Celso Borges (5) heads the ball past Uruguay's Diego Lugano (2) during the group D World Cup soccer match between Uruguay and Costa Rica at the Arena Castelao in Fortaleza, Brazil, Saturday, June 14, 2014. (AP Photo/Fernando Llano) (The Associated Press)

Uruguay captain Diego Lugano has been ruled out of the World Cup match against England on Thursday with a knee injury.

The Uruguay federation says Lugano's left knee strain has intensified in recent day, preventing "normal sporting performance."

Medical scans showed that the 33-year-old defender does not currently require surgery.

Uruguay and England both lost their Group D openers on Saturday.