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The America midfielder had an ankle injury that will require surgery and must pull out of the World Cup.

Mexican midfielder Juan Carlos Medina will not participate at Brazil 2014 due to injury, with Toluca left back Miguel Ponce taking his place. 

Medina, 30, suffered an ankle problem in training that limited his participation and, after medical tests, will require surgery to correct it, according to a statement released by the Mexican federation (FMF) Tuesday.

Holding midfielder Medina was a key part of Club America’s success under current Mexico coach Miguel Herrera, went the full 90 minutes in both intercontinental playoff games against New Zealand for El Tri and was a likely starter in Brazil.

Ponce has had a good season for Toluca and will likely be challenging for a spot as the left wing back and is therefore not a like-for-like replacement for Medina, who was placed on America’s transfer list week.

The loss of Medina leaves Mexico with just one fully recognized holding midfielder in Leon’s Jose Juan “Gallito” Vazquez, although Carlos Salcido and Hector Herrera could both potentially fill in there.

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