{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,9]],"date-time":"2025-09-09T21:34:54Z","timestamp":1757453694613},"reference-count":13,"publisher":"British Editorial Society of Bone & Joint Surgery","issue":"11_Supple_A","license":[{"start":{"date-parts":[[2012,11,1]],"date-time":"2012-11-01T00:00:00Z","timestamp":1351728000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/online.boneandjoint.org.uk\/TDM"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Journal of Bone and Joint Surgery. British volume"],"published-print":{"date-parts":[[2012,11]]},"abstract":"<jats:p> The differential diagnosis of the painful total hip arthroplasty (resurfacing or total hip) includes infection, failure of fixation (loosening), tendinitis, bursitis, synovitis, adverse local tissue reaction (ALTR) to cobalt-chromium alloys, and non-hip issues, such as spinal disorders, hernia, gynecologic, and other pelvic pain. Assuming that the hip is the source of pain, the first level question is prosthetic or non-prosthetic pain generator? The second level prosthetic question is septic or aseptic? The third level question (aseptic hips) is well-fixed or loose? ALTR is best diagnosed by cross-sectional imaging. Successful treatment is dependent on correct identification and elimination of the pain generator. Treatment recommendations for ALTR and taper corrosion are evolving. <\/jats:p>","DOI":"10.1302\/0301-620x.94b11.30825","type":"journal-article","created":{"date-parts":[[2012,11,1]],"date-time":"2012-11-01T12:38:47Z","timestamp":1351773527000},"page":"55-57","source":"Crossref","is-referenced-by-count":11,"title":["The painful hip"],"prefix":"10.1302","volume":"94-B","author":[{"given":"T. P.","family":"Schmalzried","sequence":"first","affiliation":[{"name":"Joint Replacement Institute, \rSt. Vincent Medical Center, 2200\rW. Third Street, Suite 400, Los\rAngeles, California 90057, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"42","reference":[{"key":"r1","doi-asserted-by":"publisher","DOI":"10.3928\/01477447-20090728-06"},{"key":"r2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.90B7.20213"},{"key":"r3","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199802000-00015"},{"key":"r4","doi-asserted-by":"crossref","first-page":"647","DOI":"10.3928\/01477447-20100722-45","volume":"33","author":"Schmalzried TP","year":"2010","journal-title":"Orthopedics"},{"key":"r5","doi-asserted-by":"publisher","DOI":"10.1097\/JSA.0b013e3181e0b2ff"},{"key":"r6","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-011-2006-8"},{"key":"r7","doi-asserted-by":"publisher","DOI":"10.5435\/00124635-201012000-00006"},{"key":"r8","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.H.00672"},{"key":"r9","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2012.03.020"},{"key":"r10","doi-asserted-by":"publisher","DOI":"10.1002\/jmri.23523"},{"key":"r11","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-011-2146-x"},{"key":"r12","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.J.01508"},{"key":"r13","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198870080-00017"}],"container-title":["The Journal of Bone and Joint Surgery. British volume"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.94B11.30825","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/full-xml\/10.1302\/0301-620X.94B11.30825","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.94B11.30825","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,8,16]],"date-time":"2021-08-16T18:57:02Z","timestamp":1629140222000},"score":1,"resource":{"primary":{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/10.1302\/0301-620X.94B11.30825"}},"subtitle":["Diagnosis and Deliverance"],"short-title":[],"issued":{"date-parts":[[2012,11]]},"references-count":13,"journal-issue":{"issue":"11_Supple_A","published-print":{"date-parts":[[2012,11]]}},"alternative-id":["10.1302\/0301-620X.94B11.30825"],"URL":"https:\/\/doi.org\/10.1302\/0301-620x.94b11.30825","relation":{},"ISSN":["0301-620X","2044-5377"],"issn-type":[{"value":"0301-620X","type":"print"},{"value":"2044-5377","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,11]]}}}