Anyone know what causes this?

Probably a “cactus buck”.

Decent little fact sheet. It was put out by Oregon DFW but info is relevant anywhere:

I was actually about to say likely a result of testes damage resulting in abnormal testosterone production affecting antler growth.


Used to see it a ton in Alaska. The biologists said often times the buck falls asleep and his nuts freeze to the ground and stay behind. Results in some wild antlers, wish I had a picture of the one prime example our group got back in like 2008
 
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