Demi Vollering, the leader of Tour de France Femmes, crashed with just 6.3km remaining on stage 5, losing her lead and sustaining a hip injury.
The crash occurred at a roundabout due to a touch of wheels among riders, leading to a major pile-up that affected several competitors.
Blanka Vas of SD Worx-Protime clinched the stage win, while Kasia Niewiadoma surged ahead to claim the lead in the overall standings.
Vollering finished 1:46 behind the stage winner, resulting in her dropping from the top spot in the overall rankings as Niewiadoma took the yellow jersey.
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