Euro 2012 - Italy forward Rossi out of Euro 2012
United States-born Rossi's club Villarreal said the 25-year-old suffered the latest setback in training on Friday morning and would need further surgery that would keep him out of action for another six months.
"Villarreal will announce the date and location of the operation in the next few days," the La Liga club said.
Rossi's injury further restricts Italy coach Cesare Prandelli's options for his forward line at Euro 2012, with Milan's Antonio Cassano recovering from heart surgery and Mario Balotelli beset by disciplinary problems.
Italy begin their campaign against Group C rivals and holders Spain in Gdansk on June 10, before meeting Croatia four days later and Ireland on June 18.