Cal Crutchlow left Mugello on Sunday evening with a dislocated right ankle after crashing out of the Italian MotoGP race in a terrifying spill at Arrabbiata 1.

The CWM Honda rider was holding a strong fifth position just hours after a fall in morning warm-up on the entry to turn four banged his head and hurt his right hand.

Along with Marc Marquez, who lost the front end in similar circumstances, Crutchlow opted for the hard compound front tyre for the 23-lap race and he believes it was to blame for the spill.

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"I'm very disappointed for the whole team. We made what I thought was a good weekend up until the race. This morning I had a crash on the white line in the warm up. It was a very heavy crash and I hit my head many times. I had a big contusion to the hand so even to be racing in the condition I was in was good.

"To be in the position I was in was what I thought was a really good showing considering the injuries I had. Unfortunately we had the 38 [hard option] front tyre and it wasn't turning the bike very well."

The crash came on the 21st lap of 23 as Crutchlow battled to resist a late Bradley Smith charge, while sitting just under five seconds behind Dani Pedrosa. The 29-year old believes that without the earlier injury and a more refined set-up he could have been even closer to the other 'Factory' riders.

"Overall we weren't so far off the factory guys. I think with the right setting we could have been higher. The 38 front failed me in the end and tucked under in Arrabbiata 1, which is a very fast corner."

"My foot got caught in the back of the bike which dislocated my ankle. I'm in a lot of pain with this incredible swelling in the outside of the right ankle. We'll have to monitor the situation from now but I got the right treatment from the doctors at the circuit and also the Clinica Mobile."

Looking ahead, Crutchlow now has just under two weeks to improve his physical situation before round seven at Montmel?.

"Obviously I'm really disappointed. It was a good race and a good showing and you know Honda are working very hard for us to improve. We need to come back in Barcelona hopefully stronger again."

The fall sees Crutchlow slip a place in the championship standings. He now sits seventh overall, ten points behind countryman Bradley Smith.

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Frustrating that Cal crashed... again, but Scott's performances are probably more frustrating, I'm sure his team would rather see him run top 6 and crash than wobble around in 14th.