I always thought that the injury had to be to his berries from his twig and berries package

Seriously though, I thought that I had read that somewhere, all other deformaties were caused from genetics. It sure seems like that was false from some of the pics I am seeing.
Now, how would a deer grow a unicorn antler, you know, they have the normal antlers with a antler growing in between them? Would it be from a scar on his center of his belly?