Girl passes up a tango, with nose ultimately put out of joint (9)
I believe the answer is:
dislocate
'put out of joint' is the definition.
'girl passes up a tango with' is the wordplay.
'girl' becomes 'di'.
'passes' becomes 'cols' (col is a kind of pass).
'up' says the letters should be written backwards (in down clue: letters go upwards).
'a tango with' becomes 'ate' (I can't explain this - if you can you should believe this answer much more).
'cols' backwards is 'sloc'.
'di'+'sloc'+'ate'='DISLOCATE'
'nose ultimately' acts as a link.
This may not be correct. Some or all of it may be part of another bit of the clue.
(Other definitions for dislocate that I've seen before include "Remove bone from joint" , "Put out" , "Come out of joint" , "Disrupt" , "Rick" .)