Simona Halep saved a match point before defeating Canadian teen Bianca Andreescu 3-6, 7-6, 6-3 at the WTA Finals in Shenzhen.
Both players sought medical treatment during the match, with Halep getting her foot treated while Andreescu had a lower back problem.
Elsewhere, defending champion Elina Svitolina stretched her unbeaten run at the season-ending tournament with a 7-6, 6-4 win over Karolina Pliskova.
Halep and Svitolina are now 1-0 in the Purple Group, while Andreescu and Pliskova are 0-1.

Tottenham, West Ham both win as battle to avoid relegation continues
Barcelona march on towards title with 2-0 victory at Getafe
Ngidi leaves IPL game in ambulance after head injury
Pakistan to allow spectators at PSL final
Colombia's Munoz dies from infection days after crash