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According to WebMD, water on the elbow, or bursitis, is caused by pressure on the bursa, a blow to the elbow or an infection. Of these causes, pressure is the most prevalent. In fact, it is called student's elbow because students lean on their elbows while studying, which puts pressure on the bursa and causes inflammation, according to John Hopkins Medicine.
The olecranon (oh-LEH-cruh-nahn) is the pointy bone at the tip of the elbow. The bursa is the thin sac of fluid that lies between this boney tip and the skin. It helps the skin slide over the bone smoothly. Normally, this sac has only a tiny bit of fluid inside of it and lays flat. However, the bursa can become irritated or inflamed and fill with extra fluid (see Figure 1). When this happens, a painful swelling develops at the back of the elbow. This swelling is olecranon bursitis.