Having quite a few used cartridge purchases under my belt, I will chime in. I’ve only had one issue buying a used cartridge. It was an Ortofon Bronze that had a bad channel. Can’t remember if it was left or right. One side ohmed out properly. The other was open. The stylus looked great yet the cartridge itself was junk. Other than that. All other purchases were as described.
Go with your gut feeling. If something seems off about the seller, walk.
Run.
Plenty of other people selling used cartridges that are above the board.