What does a tattoo of 4 dots mean?

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Tags

1. #tattoo
2. #found
3. #fifth
4. #american
5. #european
6. #represent
7. #quincunx
8. #outside
9. #among
10. #prisoner
11. #forefinger
12. #representing
13. #inmates
14. #between
15. #typically
16. #inmate
17. #walls
18. #inside
19. #known
20. #internationally
21. #thumb