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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.
Elbow bursitis, also called olecranon bursitis, causes fluid to collect in a sac that lies behind the elbow, called the olecranon bursa. Elbow bursitis is the most common type of bursitis. A bursa is a slippery, sac-like tissue that normally allows smooth movement around bony prominences, such as the point behind the elbow. When a bursa becomes inflamed, the sac fills with fluid. This can cause pain and a noticeable swelling behind the elbow.