Often occurs after a guido performs a massive amount of fist pumping for a prolonged period of time. Similar to tennis elbow; just much more jacked and tan. Side-effects of this ailment can include: Elbow soreness, swelling in the elbow, inability to effectively consume jaeger-bombs, and retards a guido's ability to partake in their ritualistic pumping of the fist.

A casual invitation / threat used by an individual that is not afraid of fucking someone up.