The Common Musk Turtle reaches full physical maturity between five and eight years of age, by which point the carapace has achieved its terminal length of three to five inches, the shell has fully ossified into a dense and remarkably sturdy structure, and all secondary sexual characteristics are clearly expressed. Adult males are readily distinguished from females by their proportionally longer and thicker tails, which house the reproductive organ and carry the cloacal opening well beyond the posterior margin of the carapace. Males also possess conspicuous patches of rough, scale-like skin on the inner thighs and near the base of the tail, which function as clasping surfaces during copulation. Adult females tend to have slightly higher-domed carapaces, shorter tails with the cloaca positioned close to the shell margin, and smoother skin on the hind limbs.
The adult carapace of a Common Musk Turtle is a defining physical feature and warrants careful attention from keepers. In a healthy, well-maintained specimen, the shell is smooth, uniformly colored in olive to dark brown or nearly black, and displays the species' characteristic single vertebral keel running the length of the dorsal surface. Two less prominent lateral keels are sometimes visible in younger adults but often become less defined or disappear entirely as the shell thickens with age. The plastron is comparatively small and features a single, transverse hinge between the pectoral and abdominal scutes that allows limited closure of the anterior lobe, though this hinge is far less mobile than in the closely related mud turtles of the genus Kinosternon. The bridge connecting the carapace and plastron is narrow, which is where the paired musk glands are located.
An adult musk turtle in prime condition should feel heavy and solid when held, with no give or flexibility in the shell when gentle pressure is applied to the carapace or plastron. The head, which is proportionally large for the body size and equipped with a slightly hooked upper jaw, should show no swelling, asymmetry, or discharge from the eyes or nares. The skin of the neck and limbs should be supple, well-hydrated, and free of lesions, white patches, or cottony growths that would indicate fungal infection. The barbels, the small fleshy projections on the chin and throat that serve a sensory function in murky water, should be intact and symmetrical. An adult musk turtle that meets all of these criteria and is maintained in proper conditions can be expected to live for several decades, with specimens reaching thirty to fifty years of age being well-documented in captive collections.
Once the turtle has reached its adult size, the dramatic growth-related changes of the juvenile phase give way to a long period of physical stability. Shell growth effectively ceases or slows to imperceptible increments, and weight should remain relatively constant from year to year with only seasonal fluctuations related to feeding intensity and, in females, the reproductive cycle. Any unexplained weight loss in an adult musk turtle, even if the animal appears to be eating normally, is a significant finding that warrants veterinary investigation including a full physical examination, blood panel, and fecal analysis.