Italian designer Giorgio Armarni says Madonna tied her infamous Brits cape at the neck rather than fastening it at the hook for ease - resulting in her accident.
Talking to the Associated Press at Milan Fashion Week, he said: "Madonna, as we all know, is very difficult." He added: "That's all there was to it."
The comments come after the singer - whose stumble her with whiplash - seemed to blame the design of the cape for her fall on the Jonathan Ross show last week.
She said: "I was told to tie my cape and start much further back and I had to walk further and everyone was worried my cape was slide off so they tied it really tight around my neck.
"So here I am marching in like the queen, I got to the top of the stairs and I pulled the silky string and it wouldn't come undone.
"My two lovely Japanese dancers they basically strangled me off the stage. I had two choices, I could either be strangled or fall, and I chose to fall."
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