InjuryUCI WorldTourJun 22, 2026, 10:20 PM· 4 min read· #14 of 14 in sports

WorldTour Injury Update: Van Aert Returns to the Saddle as Ryan and Gigante Clear Major Recovery Hurdles

Wout van Aert completed his first ride since elbow surgery, while rising stars Archie Ryan and Sarah Gigante made crucial breakthroughs in their long-term injury rehabilitations.

By Factlen Editorial Team

Medical & Rehabilitation Staff 40%The Injured Riders 35%Team Management 25%
Medical & Rehabilitation Staff
Focuses on accurate diagnosis and patient-led recovery timelines over rushed returns to competition.
The Injured Riders
Emphasizes the psychological relief of finding the root cause of chronic pain and the motivation drawn from returning to the bike.
Team Management
Balances the immediate tactical loss of key riders for major races with the long-term investment in their athletes' health.

What's not represented

  • · Independent sports physiotherapists
  • · Race organizers affected by star withdrawals

Why this matters

Injuries can derail entire seasons in professional cycling, but seeing top-tier talent successfully navigate complex surgeries and return to the road shifts the narrative from setbacks to resilience. These medical breakthroughs ensure that the sport's brightest stars are healing correctly rather than rushing back, promising a healthier, more competitive peloton in the long run.

Key points

  • Wout van Aert completed a 67.6km charity ride less than a week after undergoing surgery for an infected elbow.
  • Sarah Gigante had a successful secondary surgery to resolve hardware irritation from a previous femur fracture.
  • Archie Ryan has returned to outdoor training completely pain-free following double knee surgery to remove inflamed plica.
  • Joe Blackmore underwent a successful diagnostic arthroscopy to treat an infrapatellar plica, clearing his path to recovery.
  • Kasper Asgreen is recovering from collarbone surgery after a heavy crash at the Four Days of Dunkirk.
67.6 km
Van Aert's first post-surgery ride
10 months
Gigante's recovery duration
2
Knees operated on for Archie Ryan

The physical toll of the 2026 UCI WorldTour season has been immense, with high-speed crashes and chronic overuse injuries sidelining some of the sport's most dynamic talents. Yet, as the summer racing calendar reaches its peak, the medical updates emerging from team camps are overwhelmingly positive.

Rather than a litany of setbacks, the latest injury reports highlight crucial medical breakthroughs and successful rehabilitations. Several key riders are finally turning the corner on complex surgeries, shifting the peloton's narrative from attrition to resilience.

The most visible sign of progress came this weekend from Belgian superstar Wout van Aert. After a training crash left him with a severely infected elbow wound that ruled him out of the upcoming Tour de France, his summer looked bleak.[4]

Van Aert was forced to undergo urgent surgery to clean the wound and avoid the life-threatening risk of sepsis. The Visma | Lease a Bike rider spent a night in the hospital and required intravenous antibiotics, leaving his team to scramble for a Tour replacement.

Key numbers from the latest wave of WorldTour medical updates.
Key numbers from the latest wave of WorldTour medical updates.

But less than a week after the operation, Van Aert was back in the saddle. Sporting a large bandage on his right arm, he completed a 67.6-kilometer charity group ride for the Olivia Fund, a Belgian organization supporting childhood cancer research.

Averaging a modest 30.6 kilometers per hour, Van Aert posted the ride to Strava with the caption, "First attempt to hold my bars again." While his July Grand Tour plans are definitively over, the symbolic ride marks a massive psychological victory and the first step toward a late-season return.

In the Women's WorldTour, Australian climbing sensation Sarah Gigante is celebrating a medical breakthrough of a different kind. The AG Insurance-Soudal Quick-Step rider has been battling to return from a devastating femur fracture sustained in an August 2025 training crash.[1]

In the Women's WorldTour, Australian climbing sensation Sarah Gigante is celebrating a medical breakthrough of a different kind.

Despite months of grueling indoor training and dedicated physiotherapy, her progress had mysteriously plateaued. Gigante found herself able to ride long endurance miles, but intense efforts remained agonizingly painful, delaying her highly anticipated return to competition.[1]

Doctors recently discovered that her persistent pain was not coming from the healing bone itself, but from severe irritation caused by the surgical hardware used to stabilize the fracture. Gigante underwent a secondary procedure this week to resolve the hardware fit.[1]

Sarah Gigante is preparing to resume indoor training after a successful procedure to address hardware irritation.
Sarah Gigante is preparing to resume indoor training after a successful procedure to address hardware irritation.

With the structural source of the pain finally addressed, the 25-year-old is preparing to resume indoor training. Her immediate focus is on surgical recovery, with the ultimate goal of putting the ten-month injury saga behind her for good.[1]

Meanwhile, the EF Education-EasyPost camp is celebrating the outdoor return of Archie Ryan. The 24-year-old Irish climber underwent double knee surgery in February to remove plica—a fold of synovial tissue that had caused him chronic, career-threatening pain.[2][3]

After months of intensive rehabilitation, Ryan is finally riding outdoors again, completely pain-free. "This is probably what caused all my injuries in the past, so that is the light at the end of the tunnel," Ryan noted, expressing immense relief. He is now targeting an August return to the peloton.[2][3]

A nearly identical diagnosis has brought a similar sense of relief to British phenom Joe Blackmore. The NSN Cycling Team rider, who won the prestigious Tour de l'Avenir, has been sidelined all season with mysterious knee pain that halted his rapid rise.[3][5]

Precise surgical interventions are allowing young climbers to return to the mountains pain-free.
Precise surgical interventions are allowing young climbers to return to the mountains pain-free.

A recent diagnostic arthroscopy in Belgium with specialist Dr. Claes revealed an infrapatellar plica, which was successfully treated during the procedure. NSN's medical staff is highly optimistic about a full recovery, giving the young Brit a clear, unimpeded path back to racing.[5]

Not all news is entirely rosy, however. EF Education-EasyPost's Kasper Asgreen is facing a race against time after breaking his collarbone in a heavy crash at the Four Days of Dunkirk, requiring his own surgical intervention.[3]

Yet, as the recoveries of Van Aert, Gigante, Ryan, and Blackmore prove, the modern peloton's medical and rehabilitation protocols are more adept than ever. By prioritizing long-term health and precise diagnostics over rushed returns, teams are ensuring their stars come back stronger than before.

How we got here

  1. August 2025

    Sarah Gigante suffers a severe femur fracture in a training crash, ending her breakout season.

  2. February 2026

    Archie Ryan undergoes double knee surgery in London to remove inflamed plica tissue.

  3. May 2026

    Kasper Asgreen breaks his collarbone in a heavy crash at the Four Days of Dunkirk.

  4. Early June 2026

    Wout van Aert crashes in training, sustaining an elbow wound that later becomes severely infected.

  5. Mid-June 2026

    Van Aert undergoes urgent surgery to clean the infection, ruling him out of the Tour de France.

  6. June 21, 2026

    Van Aert completes his first post-surgery ride, a 67.6km charity event in Belgium.

Viewpoints in depth

Medical & Rehabilitation Staff

Focuses on accurate diagnosis and patient-led recovery timelines over rushed returns to competition.

For team doctors and specialized surgeons, the priority has shifted heavily toward precise diagnostics rather than simply managing symptoms. The cases of Sarah Gigante and Joe Blackmore highlight this evolution. Rather than pushing riders through 'unexplained' pain, medical teams are utilizing advanced imaging and diagnostic arthroscopy to find the structural root causes—whether that is hardware irritation or congenital synovial folds. This methodical approach ensures that when a rider is cleared to race, they are genuinely healed, significantly reducing the risk of chronic re-injury.

The Injured Riders

Emphasizes the psychological relief of finding the root cause of chronic pain and the motivation drawn from returning to the bike.

From the perspective of the athletes, the rehabilitation process is often a severe psychological test. Riders like Archie Ryan and Sarah Gigante have spoken candidly about the frustration of training relentlessly indoors while feeling like they are making no forward progress. Discovering a tangible, fixable reason for their pain provides immense mental relief. As Wout van Aert's immediate return to a charity ride demonstrates, simply being able to hold the handlebars and pedal outdoors is a vital milestone that restores an athlete's identity and motivation.

Team Management

Balances the immediate tactical loss of key riders for major races with the long-term investment in their athletes' health.

Directors and performance coaches face the difficult task of recalibrating season goals when star riders go down. Visma | Lease a Bike had to completely restructure their Tour de France support squad following Van Aert's infection, while EF Education-EasyPost lost a key engine in Kasper Asgreen. However, team management universally backs the medical staff's conservative timelines. Sacrificing a major summer objective to guarantee a rider's long-term viability is now the accepted standard, ensuring that investments in young talents like Ryan and Blackmore pay off in the years to come.

What we don't know

  • Exactly when Wout van Aert will be cleared to return to competitive racing.
  • Whether Kasper Asgreen will recover in time to make EF Education-EasyPost's Tour de France roster.
  • The specific race Joe Blackmore will target for his highly anticipated season debut.

Key terms

Plica syndrome
Inflammation of a congenital fold of synovial tissue in the knee joint, which can cause chronic, debilitating pain for cyclists.
Diagnostic arthroscopy
A minimally invasive surgical procedure used by doctors to examine and treat damage inside a joint, such as the knee.
Femur fracture
A severe break in the thigh bone that requires extensive hardware stabilization and a long, complex rehabilitation process.
Sepsis
A life-threatening medical emergency caused by the body's extreme response to an infection, which Wout van Aert's medical team successfully prevented.

Frequently asked

Why did Wout van Aert withdraw from the Tour de France?

Van Aert withdrew due to a severely infected elbow wound sustained in a training crash, which required urgent surgery to prevent sepsis.

What surgery did Sarah Gigante undergo?

Gigante underwent a procedure to address severe irritation caused by the surgical hardware that was initially used to stabilize her fractured femur.

What is plica syndrome in cycling?

It is a condition where a fold of synovial tissue in the knee joint becomes inflamed, causing chronic pain. It recently required surgical intervention for both Archie Ryan and Joe Blackmore.

Sources

Source coverage

5 outlets

3 viewpoints surfaced

Medical & Rehabilitation Staff 40%The Injured Riders 35%Team Management 25%
  1. [1]Bicycling AustraliaThe Injured Riders

    Sarah Gigante undergoes further surgery as recovery from femur fracture continues

    Read on Bicycling Australia
  2. [2]EF Pro CyclingThe Injured Riders

    Archie Ryan is back on his bike

    Read on EF Pro Cycling
  3. [3]IDL Pro CyclingTeam Management

    Injury update: Good news for Ryan and Blackmore, bad news for Asgreen

    Read on IDL Pro Cycling
  4. [4]Cycling Magazine CanadaTeam Management

    Belgian star ruled out after elbow injury fails to heal

    Read on Cycling Magazine Canada
  5. [5]CyclingFlashMedical & Rehabilitation Staff

    Surgery should relieve Joe Blackmore of persistent knee pain

    Read on CyclingFlash
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