The New Zealand cyclist Jack Bauer has been forced to pull out of the Tour de France after he suffered a broken hip when he came off his bike in one the fifth stage's many crashes.
German Andre Greipel claimed his second win in this year's Tour de France with an impressive sprint in the fifth stage.
Greipel's compatriot Tony Martin retained the overall leader's yellow jersey.
Lotto Soudal rider Greipel, who holds the green jersey for the points classification, started his effort late in the final straight but easily went past Britain's Mark Cavendish.
Cavendish, looking far from his past best as he sought to add to his 25 Tour stage wins, again came up short and finished third after taking fourth in Sunday's second stage won by Greipel.
"Two victories, it's great," said Greipel.
"The whole team worked well for this sprint. It was the first bunch sprint, it's interesting... with 300 metres I thought I was boxed in but I saw an opening and went for it."
Slovakian Peter Sagan finished a strong second at the end of a 189.5-km ride marred by seven crashes on the slippery roads of northern France.