Asamoah Gyan, who has converted two penalty kicks in this year's World Cup, missed a penalty kick to end extra time, keeping the score 1-1, sending Uruguay and Ghana to a penalty kick shootout.
The kick was awarded after a Jorge Fucile foul on Ghana's right flank gave the Black Stars a set piece opportunity with what would have been the final attempt of extra time. A ball flicked on by Kevin-Prince Boateng saw a chance for Stephen Appiah saved, with the rebound finding the foot of Dominic Adiyiah. The starlet's shot was saved off the line by Luis Suárez who reached-out and intentionally handled the ball, saving a sure goal but drawing a red card.
Gyan's penalty kick, which would have put Ghana into the semifinals, hit the crossbar and went over goal, keeping the score tied at one.
The match now goes to a penalty kick shootout.