MILAN (AP) — Spanish Vuelta champion Chris Horner of Bend, Ore. has been hospitalized with a punctured lung, four broken ribs and cuts on his head following a training accident in northern Italy.

The Lampre team says details of the accident involving the 42-year-old American rider "are still to be evaluated, however it seems that in the afternoon he was probably hit by a car."

Lampre says Horner was transported to the Manzoni hospital in Lecco, where the team's physician Luca Pollastri met him to coordinate treatment.

Lampre says the cuts on Horner's head required stitches although medical exams showed no concussion.

Horner won the Vuelta last year at the age of 41 to become the oldest Grand Tour champion.