BREAKING: The Russian Olympic Committee has won the gold medal in women’s gymnastics after U.S. star Simone Biles exited with a medical issue.

The Russian gymnasts posted a team score of 169.528, ahead of the U.S. in second place at 166.096. The gold is the first for the Russians since the Unified Team triumphed in Barcelona in 1992 and came a day after the men’s team edged Japan for the top spot in the men’s final.

TOKYO (AP) — Reigning Olympic gymnastics champion Simone Biles is out of the team finals after apparently sustaining an injury during the vault.

The 24-year-old U.S. star, considered to be the greatest gymnast of all time, huddled with a trainer after landing her vault. She then exited the competition floor with the team doctor.

Biles returned several minutes later. She took off her bar grips, hugged teammates Grace McCallum, Sunisa Lee and Jordan Chiles before putting on a jacket and sweatpants.

The Americans will be forced to finish the rest of the competition without her, severely hampering their bid to claim a third straight Olympic title.

Coach Laurent Landi embraces Simone Biles, after she exited the team final with apparent injury, at the 2020 Summer Olympics, Tuesday, July 27, 2021, in Tokyo. The 24-year-old reigning Olympic gymnastics champion Biles huddled with a trainer after landing her vault. She then exited the competition floor with the team doctor. (AP Photo/Gregory Bull)

The U.S. began finals on vault, with Biles going last. She was supposed to do an “Amanar,” a vault that begins with a roundoff back handspring onto the table followed by 2 1/2 twists. She seemed to change her mind in mid-air, doing just 1 1/2 twist instead.

She walked off the podium and was tended to by team doctor Marcia Faustin before making her way out of the arena.

TOKYO, JAPAN – JULY 27: Simone Biles of Team United States looks on during the Women’s Team Final on day four of the Tokyo 2020 Olympic Games at Ariake Gymnastics Centre on July 27, 2021 in Tokyo, Japan. (Photo by Ezra Shaw/Getty Images)

Biles arrived in Tokyo as the unquestioned star of the Games but struggled, at least by her high standards, during qualifying. In a social media post on Monday, she admitted she felt like the weight of the world was on her shoulders and that the Olympics “were no joke.”

Simone Biles, of the United States, enters the court for the artistic gymnastics women’s final at the 2020 Summer Olympics, Tuesday, July 27, 2021, in Tokyo. (AP Photo/Gregory Bull)

Biles won five medals in Rio de Janeiro five years ago and had a chance to actually top that after advancing to all five finals. It remains to be seen whether she will be available for the all-around final on Thursday night and the event finals later in the Games.

After two rotations, the United States trails ROC 2.5 points.