The Colombian sensation crashed out training on Saturday and was expected to undergo surgery on his broken bone tomorrow.
Bernal was due to lead Team INEOS at the Giro after an impressive start to 2019 that saw the Colombian claim a first WorldTour win with overall victory at Paris-Nice.
His mishap not only turns the British team’s overall plans upsidedown but it lines up a formidable selection at the Tour de France.
The 2019 Giro d’Italia begins next Saturday with a time trial in Bologna. Stars including Primoz Roglic, Vincenzo Nibali, Tom Dumoulin and Simon Yates are aiming for the overall.