Advances in arthroscopic technology allow rotator cuff repair through a min
imally invasive approach. However, fixation of the rotator cuff tendon to s
uture anchors can be tedious and time consuming. The supraclavicular fossa
portal allows improved access to the tear for passing suture. The authors d
escribe the relevant anatomy, positioning, and surgical technique for use o
f the supraclavicular fossa portal to simplify arthroscopic rotator cuff re
pair.