Paceman Atkinson Compounds the English team's Fitness Worries.
'Major setback' for England after Atkinson goes off suffering a hamstring problem.
The English seamer further complicated the fitness woes of the England squad when he left the field during Saturday's play of the Boxing Day Test versus the Australians.
The right-arm seamer pulled up with his left hamstring post-delivery that he bowled during the morning session.
The England team reported Atkinson felt some "soreness" and was to take time off the field for further assessment "during the day".
The series decider of the tour beginning on 4 January gets underway at the end of the week.
The English side has been without strike bowlers Mark Wood with a knee problem and Jofra Archer with an abdominal strain during this series.
A replacement bowler was added to the party to provide backup.
The seamer had a tough time during the first two matches, managing only three wickets.
He was omitted of the third Test, before being recalled for the fourth Test to fill the void.
Surrey's Atkinson performed better in the fourth Test, bagging two scalps with the ball, before adding 28 as a batsman among just a trio of English batsmen to get into double digits.
Following a brief spell late on the first day, he resumed on Saturday morning and dismissed the nightwatchman Scott Boland caught behind.
Yet, on the final ball of his spell, he sent down a slower ball to the batsman and promptly felt his left hamstring.
The English bowler was brought back for the Boxing Day Test having missed the Adelaide game.