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MARK CAVENDISH is out of the Tour de France after suffering a broken shoulder in his sickening clash with Peter Sagan.

Cav elbowed off of his bike with Sagan getting disqualified while the Brit clung to hopes he would be medically passed to continue - but that dream has been dashed.

Peter Sagan appeared to throw out an elbow as Mark Cavendish crashed against the advertising hoarding
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Peter Sagan appeared to throw out an elbow as Mark Cavendish crashed against the advertising hoardingCredit: EPA
Mark Cavendish appeared to be shoulder charged - and even ELBOWED - by Peter Sagan in the final sprint
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Mark Cavendish appeared to be shoulder charged - and even ELBOWED - by Peter Sagan in the final sprintCredit: Eurosport
Peter Sagan appeared to jut out his elbow as towards Mark Cavendish in the final sprint for stage four
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Peter Sagan appeared to jut out his elbow as towards Mark Cavendish in the final sprint for stage four

The 31-year-old was barged by world champion Peter Sagan against the advertising hoardings as he smacked against the tarmac in Vittel.

Sagan has since been disqualified for causing Cavendish to crash.

Cavendish said: "I'll definitely need stitches in this finger. Don't know if I've snapped ligament in my shoulder. I'm not optimistic.

"I get on with Peter well but I'm not a fan of him putting his elbow across. I'd just like to know about the elbow."

Sagan appeared to shoulder barge the Manx Missile as he opened up for his big final sprint.

He was squeezed into a tight avenue near the advertising hoarding, before Sagan appeared to barge into him.

Mark Cavendish's team-mates rush to his aid as riders complete their final sprint in Vittel
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Mark Cavendish's team-mates rush to his aid as riders complete their final sprint in VittelCredit: Getty Images
Mark Cavendish did manage to pick himself up after medical attention and crossed the finish line on his bike, bandaged and bloodied
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Mark Cavendish did manage to pick himself up after medical attention and crossed the finish line on his bike, bandaged and bloodiedCredit: Reuters
Mark Cavendish crosses the line nursing his right shoulder at the conclusion of the fourth stage of the Tour de France
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Mark Cavendish crosses the line nursing his right shoulder at the conclusion of the fourth stage of the Tour de FranceCredit: Getty Images

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Cavendish slid against the barriers, before smacking the road surface.

Two following riders including German sprinter John Degenkolb then ran over his prostrate body.

Mark Cavendish needs to have an x-ray on his suspected shoulder fracture
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Mark Cavendish needs to have an x-ray on his suspected shoulder fractureCredit: Instagram - Mark Cavendish
Mark Cavendish looked down in the dumps following his horrific crash
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Mark Cavendish looked down in the dumps following his horrific crashCredit: Instagram - Mark Cavendish
Mark Cavendish was left with a bloodied hand after the crash
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Mark Cavendish was left with a bloodied hand after the crashCredit: Instagram - Mark Cavendish
Mark Cavendish revealed he needed to give a urine sample after his crash
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Mark Cavendish revealed he needed to give a urine sample after his crashCredit: Instagram - Mark Cavendish

He did pick himself up and cross the line on his bike after being bandaged up by medical staff, but early reports suggest he has a fractured shoulder, meaning his Tour is over.

Frenchman Arnaud Demare won the stage, with Slovakian Sagan second, after a frantic last few kilometres.

And inside the final yards Geraint Thomas was also involved in a crash, in a separate incident from Cavendish.

Cavendish later revealed insult had been added to injury as he was selected for a random drugs testing.

He said: "As if going to the radiologist for my shoulder isn't enough, I've got to go and pee in a pot first."

Team Dimension Data tweeted: "Mark Cavendish hurt his shoulder and hand. On his way to hospital for further examinations. More information when available."

But the Welshman picked himself up and crossed the line in the Yellow Jersey, meaning he will hold on to the Tour de France lead.

Sagan then waited for Cavendish close to his Dimension Data team bus, to apologise for the incident.

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