Future  Work
•These simulations will be used to explore multiple injury hypotheses although the primary purpose of our simulations is related to Shaken Baby Syndrome(SBS) related injuries
•  Tissue damage patterns from simple impact injury and repeated shakings are related but noticeable differences. Simulations will highlight the differences by revealing patterns of internal strains and stresses associated with each type of loading. Clinicians can use such patterns for diagnostic purposes.
•  Damage observed during SBS is not merely the result of the brain and associated vessels being loaded beyond a threshold of acceleration, either linear or rotational, during the whiplash effect of being shaken about the chest or shoulders.  Rather, we hypothesize that the damage is a result of cumulative loading.
•  The frequency of shaking that is obtainable by an adult human shaking a baby by the chest or shoulders causes a relative rotational velocity between the skull and brain.  As subsequent oscillations continue in both strength and frequency, the difference in rotational velocity between the skull and brain increase until the brain is literally rotating in one direction while the skull is rotating directly opposite of the brain.  At this point any connective tissue between the brain and skull will be strained, possibly to failure, and potentially the brain could “crash” into the skull itself