piping in late here, but I agree with what has already been mentioned, looks like he was either on aero bars or resting forearms on the bars. The road looks like it would cause some SERIOUS road rash!!!! Broken collar bone SUCKS, broke mine in the same place 5 times from soccer. No good can come from a broken collar bone and you dont realize how much it effects your everyday motion until it happens to you.
P.S. who the freak mounts their camera directly behind a cable!!??