When strict replication is enabled on the target DC (the receive one) it will not allow to replication for that update. When strict replication is disabled on the target DC (the receive one) it will request the full object from the source DC (the sending one) and apply the update.
The sharp pain in the thigh could be due to other potential diseases. These include osteomyelitis, Ewing's sarcoma, septic arthritis, osteosarcoma, sciatica, compartment syndrome, among other infections. It could also be because of a tumor in the bone, thigh bone fractures and nervous disorders like tendinitis.
Inflammation of this sac, or hip bursitis, typically causes pain in the upper, outer thigh where your thigh bone protrudes. Hip bursitis typically causes sharp pain if the area is touched, and certain activities -- such as climbing stairs and standing from a seated position -- are usually quite painful.