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BACKGROUND Autologous osteochondral grafting (OG) is an option in the treatment of capitellar osteochondritis dissecans (COCD). However, radiographic healing after this procedure has not been well documented. PURPOSE To develop a magnetic resonance imaging (MRI)-based scoring system specific for evaluating healing after single-plug OG in COCD and to evaluate correlation between radiographic healing and early clinical outcomes. STUDY DESIGN Cohort study (diagnosis); Level of evidence, 3. METHODS Between 2014 and 2017, 183 elbows with C