Panama Joe Gans bout was technically a world championship, the crowd was described as small. Darden made many of his points with blows to the body of Gans. In a twelve-round newspaper decision by the "Pittsburgh Post" on December 6, 1921, Gans defeated Allentown Joe Gans at McGuigan Arena in Harrison, New Jersey. In January 1921, Panama Joe contracted pneumonia, affecting his long term career ambitions. In 1920 he had won all of his fights, showing his mastery of the boxing world, and his potential as a true World Middleweight Champion. In September and October 1921, Panama Joe would lose to Sailor Darden
Sonny Liston to his right knee and then fell on his back again. Many in attendance did not see Ali deliver the punch. The fight quickly descended into chaos. Referee Jersey Joe Walcott, a former World Heavyweight Champion himself, had a hard time getting Ali to go to a neutral corner. Ali initially stood over his fallen opponent, gesturing and yelling at him, "Get up and fight, sucker!" "Nobody will believe this!" When Walcott got back to Liston and looked at the knockdown timekeeper, Francis McDonough, to pick up the count, Liston had fallen back on the canvas. Walcott never did pick