Elkhorn Tips from Jackson Hole, silver setting wraps the horn and is set with turquoise. This long, long necklace (33") and is super good alone or stacked with in a grouping.
The necklace is knotted, long bone with Indian silver beads, turquoise spacers.

Elkhorn Tip is 3" long
Beaded Necklace, including Elkhorn Tip is 33" long