"Aiden sustained a fracture affecting the distal joint of his left ring finger," CSA's chief medical officer Dr Shuaib Manjra said. "After consulting with a number of hand specialists yesterday we arrived at a decision that the best outcome would be achieved through surgical reduction and fixation.
"This would mean him unfortunately missing the rest of the series against England. We feel for Aiden who worked extremely hard to come through his previous hand fracture sustained in India to be Test match ready."
Markram managed 20 runs in the first innings when the Proteas were bundled out for 284 whereas in the second innings, he could contribute with only 2.