Buckcherry lead singer Josh Todd told Q magazine: "The title came from a guy's knuckles. He had that tattooed across the back of his fingers. I thought that was really brave. He was a really interesting character, and while he wasn't the inspiration for the song he did inspire the title. The song is about people who come around after you've had some success. You know that as soon as the fame is over they're moving on to the next thing."