Fast bowler Atkinson Exacerbates the English team's Fitness Worries.
'Significant concern' for the touring side after Atkinson goes off due to a hamstring issue.
The pace bowler further complicated the injury concerns plaguing England after leaving the playing area during Saturday's play of the fourth Ashes Test against Australia.
The right-arm seamer experienced discomfort in his left hamstring after the final ball of the fourth over at the MCG.
Team management reported Atkinson felt some "soreness" and required time on the sidelines for further assessment "during the day".
The series decider of the series beginning on 4 January gets underway at the end of the week.
The visitors have already lost fast bowlers Mark Wood to a knee injury and another paceman because of a side injury during this series.
Matthew Fisher was added to the party to provide backup.
Atkinson struggled early in the series, claiming a mere three wickets.
He was dropped of the third Test, then recalled for the Melbourne Test in the playing XI.
Surrey's Atkinson performed better in the fourth Test, claiming a couple of wickets with the ball, before adding 28 with the bat being one of only three English batsmen to get into double digits.
Following a brief spell at the end of day one, he resumed for the second day's play and removed Scott Boland edging to the keeper.
Unfortunately, towards the conclusion of the fifth over, he sent down a variation to the batsman and suddenly grabbed for his hamstring.
The English bowler returned to the side for the Boxing Day Test having missed of the third.