Already voted, returning for comments. What a great capture of not only pain, but also compassion ans sportsmanship. I think I may have played with the crop a little as I'm not totally sold on this one - but then again, I don't know what you had to work with. In any event, the emotive strengths of the image far outweigh any technical issues, particularly those that are subjective. This one gets a 9
This shot shows the emotion pain very well, but it even includes the remedy: consolidation. I like that you managed to include both. If only the red girl's back was inside the frame! 9.
I find the main subject is the girl standing since we can see her face and she is actually posing an action. The cropping should have included her. But it's nice moment you captured.