World number one Rafael Nadal pulled out of the ATP Finals and brought an end to his season after defeat by Belgian seventh seed David Goffin in his opening round-robin match.
Nadal said before the tournament his knee was “not perfect” but fought hard before losing 7-6 (7-5) 6-7 (4-7) 6-4.
The Spaniard, 31, described it as a “miracle” that he took Goffin to three sets over two-and-a-half hours.
“I am off and the season is finished. I am really not ready to play,” he said.
“I really fought a lot during the match knowing probably it was a big chance [that it would be] the last match of the season. It’s about the pain and I cannot hold with enough power to keep playing.”
Nadal is guaranteed to end the year as the world number one and will now concentrate on recuperation before preparing for the new season.
“The good thing is [the injury] is nothing new,” he added.
“We hope to have the right rest, the right work and try to be ready for the beginning of the next season.”
Nadal had been determined to try to compete in London despite the knee injury that caused him to pull out of the Paris Masters, but was clearly struggling in the closing stages against Goffin.
The Belgian made most of the running, with his effortless backhand down the line the decisive shot, but double faults at key times betrayed the nerves he felt trying to claim a first win over the 16-time Grand Slam champion.
Nadal was not at his best but his competitive spirit almost carried him through as he converted all four break points that came his way, while saving eight of 13 on his own serve.
Grigor Dimitrov earlier beat Dominic Thiem 6-3 5-7 7-5 in the opening round-robin match in the Pete Sampras Group.
The Bulgarian sixth seed admitted he had felt “pretty nervous” after seeing off Austrian fourth seed Thiem in three dramatic sets on his ATP Finals debut.
Roger Federer and Alexander Zverev won the opening matches in the Boris Becker Group on Sunday.
The pair will meet in Tuesday’s second singles match at 20:00 GMT, after Marin Cilic plays Jack Sock at 14:00.