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England captain Michael Vaughan's chances of playing in the first Test against Pakistan are rated as slim after he suffered a knee injury.
Vaughan was batting with Andrew Strauss against Pakistan A when he twisted his right knee as he completed a run and had to retire hurt without scoring.
He was taken to hospital for a scan and will have treatment.
England's chief medical officer Peter Gregory said: "He's got to be a doubt for the first Test."
The injury happened just five days before England's first Test against Pakistan in Multan on Saturday.
"It's still very sore. We will need 24 or 48 hours to see how he pulls up clinically and responds to the treatment, as well as to take into account what we find on those scans," said Gregory.
But he warned Vaughan's tour could be over if he needs more surgery on his knee.
"He has a history of cartilage damage, and it would be very likely this is too. "If there is a tear it would be pretty bad for him. Usually with tears you would need an operation."