she probably doesn't need an x-ray but she does need a skilled clinician to perform a careful exam. straddle injuries (and i have seen hundreds of them) can cause some significant injuries but most are either repairable (some cause hiddle tears or lacerations requiring sutures) or heal on their own. a gentle and kind medical professional needs to look at those girl parts and see what injuries have occurred. what you can see could only be part of the damage. this exam can be done painless but prepare her for the unavoidable embarrassment of someone looking at her private parts. if she prefers to see a female provider see if this can be arranged. in the meantime put some cool compresses on those painful parts and get her some medical care. don't worry. serious "internal injuries" would not be very likely.
7 year old daughter just wrecked bike and hit the middle bar cuttingt the right side of her labium. should we get xray? . bleeding is minimal and looks bruised. should i be worried about any internal issues with her and have her seen by a doctor for xrays? .