V-sync = sync'd to the vertical refresh rate of the screen. It locks the fps at the screen's refresh rate of 60hz. That is how v-sync works regardless of whether using windows or osx. If you are seeing fps at 54 or 34 or anything other than 60 then v-sync is not set.
I'm not sure why the blue posts on the blizzard forum are saying osx does v-sync differently. What Windows has is the ability to triple buffer so it won't drop to 30 fps. Maybe OSX can't do triple buffering but other than that there shouldn't be significant differences.
Here is a lengthier explanation of v-sync
http://hardforum.com/showthread.php?t=928593
that said, you should just turn it off because I doubt you are going to be going over 60fps very often at native resolution and shouldn't be experiencing screen tearing.