It's possible too. All kinds of things can happen when someone gets KO'd. Hit their head on something on the way down. (table, chair, a curb, eek!) I've also seen people screw up their backs and blow out a knee from falling straight down on them and going backwards/sideways.
The worst kind of punch to get hit by are the ones you don't see coming and the ones with full bodyweight behind it. That kid is lucky that guy kind of winged it from his elbow at an angle rather than driving straight through with his bodyweight.
A solid punch - at almost the moment of impact, the shoulder and elbow line up directly behind the fist (straight wrist, no bend) with the rear leg driving through.
It's not to say a big hook can't have power to it, but it's not as quick/efficient of a punch since 90% people don't know how to place their feet and pull their hips through to throw a proper punch. It's almost always thrown from the shoulder with a very bent wrist taking away power and not lining up on the targert properly. You're also risking a broken wrist and/or a boxers fracture in your hand punching that way.
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