What is the mechanism of injuries of shaken-baby syndrome (SBS)?
What will be an ideal response?
The mechanism of injury in SBS is thought to result from a combination of physical factors, including the proportionately large size of the adult relative to the child. Shaking by admitted assailants has produced remarkably similar injury patterns:
1. The infant is held by the chest, facing the assailant, and is shaken violently back and forth.
2. The shaking causes the infant's head to whip forward and backward from the chest to the back.
3. The infant's chest is compressed, and the arms and legs move about with a whiplash action.
4. At the completion of the assault, the infant may be limp and either not breathing or breathing shallowly.
5. During the assault, the infant's head may strike a solid object.
6. After the shaking, the infant may be dropped, thrown, or slammed onto a solid surface.
Most infants in whom shaking has been documented have retinal hemorrhaging (bleeding along the back inside layer of the eyeball). Other intracranial injuries ascribed to shaking trauma are fluid between the skull and brain, tearing of brain tissue, and swelling of the brain.
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