Maurkice Pouncey will likely need to undergo surgery on his injured left ankle.

Ha Ha Clinton-Dix rolled into Pouncey's leg on a first-quarter running play, forcing the Pro Bowl center to leave the game on a cart. He was examined on the sideline before being taken to the locker room for X-rays.

"He does bring a different vibe when he's in there," guard Ramon Foster said. "I think everybody can agree with that. But we'll see what happens."

Pouncey has been hurt in two of the past three seasons, missing 15 games with a torn anterior cruciate ligament in 2013.