The worst fears are confirmed for Uruguay and Manchester United. Midfielder Manuel Ugarte suffered a torn ACL in his left knee during the team’s 1-0 loss to Spain that knocked them out of the 2026 World Cup. The injury happened late in the first half, in the 43rd minute, when Ugarte went in to challenge Pedri for a loose ball. He went down hard, grabbed his knee immediately, and had to be stretchered off the field. Nicolás de la Cruz replaced him.
The moment that changed everything
It was a routine tackle, the kind you see fifty times a game. Ugarte stepped into Pedri’s path near midfield, planted his left foot, and something gave. He didn’t get back up. Players from both sides called for medical staff within seconds. The look on his face said everything. Spain scored just minutes later, but by then Uruguay had already lost their midfield anchor for the rest of the tournament. They just didn’t know yet how much longer it would really be.
Recovery time is estimated at nine to twelve months, according to the Uruguayan federation’s medical team. That means Ugarte won’t play competitive soccer again until at least mid-2027. The 25-year-old is looking at basically a full calendar year of rehab. No training with the team. No matches. Just months of strength work, range-of-motion drills, and the slow grind of getting a knee to bend like it used to.
Manchester United takes over from here
Ugarte will fly to England in the next few days to have surgery. Manchester United’s doctors will handle the procedure and oversee his recovery. The club holds his registration, so they’re ultimately responsible for getting him back on the pitch. But here’s the thing — since the injury happened while he was on international duty at the World Cup, FIFA’s Club Protection Program kicks in. That program covers his full salary while he’s out. So United won’t have to pay a dime of his wages until he’s medically cleared to play again. It’s a small break for a club that’s had some costly injury situations in recent years.
The bigger picture for Uruguay is grim. They’re already out of the World Cup after a tight, physical loss to Spain. Losing Ugarte for the next year also means he’ll miss Copa América preparations and the early stages of World Cup qualifying for 2030. The federation hasn’t said much beyond the medical update, but fans online are already calling it one of the worst injury breaks in recent Uruguayan soccer history.
Ugarte hasn’t posted anything publicly since the injury. His teammates have. Federico Valverde put a simple prayer hands emoji on Instagram. Darwin Núñez shared a photo of Ugarte from the tunnel before the Spain match. Nobody needs words for this one.

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